Search icon

PREMIER BEHAVIORAL SERVICES OF FL, INC.

Company Details

Entity Name: PREMIER BEHAVIORAL SERVICES OF FL, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 20 Oct 2017 (7 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: P17000084946
Address: 17713 SE FEDERAL HIGHWAY, JUPITER, FL 33469
Mail Address: 2003 GODWIN AVE, STE B, LUMBERTON, NC 28258
ZIP code: 33469
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427569359 2017-10-18 2017-10-18 2003 GODWIN AVE STE B, LUMBERTON, NC, 283583150, US 17713 SE FEDERAL HWY, JUPITER, FL, 334693409, US

Contacts

Phone +1 919-285-1593
Fax 9192851593

Authorized person

Name SANTHOSH AUGUSTINE
Role CEO
Phone 9192851593

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role
REGISTERED AGENTS INC Agent

Chief Executive Officer

Name Role Address
AUGUSTINE, SANTHOSH Chief Executive Officer 2003 GODWIN AVE, LUMBERTON, NC 28358

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-03-25 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
Domestic Profit 2017-10-20

Date of last update: 17 Feb 2025

Sources: Florida Department of State